algorithms.tnm.1.6.tables.clin_t_melanoma_tongue_base_6605.json Maven / Gradle / Ivy

{
  "id" : "clin_t_melanoma_tongue_base_6605",
  "algorithm" : "tnm",
  "version" : "1.6",
  "name" : "Clin T Melanoma Tongue Base",
  "title" : "Clinical T",
  "notes" : "**Note 1:** Assign 88 for in situ cases (behavior code /2). TNM does not include an in situ category for mucosal melanoma tumors.\n\n**Note 2:**  Mucosal melanomas are aggressive tumors, therefore, T1 and T2 are omitted, as are Stages I and II.\n\n**Note 3:**  The intrinsic muscles of tongue are four paired muscles within the tongue which control its shape.  The extrinsic muscles originate from structures outside the tongue and control its positioning.\n\n**Note 4:**  Assign T3 for localized tumor when no other information is available or for extension involving the mucosa only of adjacent sites.\n\n**Note 5:**  Assign T4a or T4b for extension involving the deeper tissues of the primary or adjacent sites.",
  "footnotes" : "\\* T4 [NOS] is not defined by UICC in the 7th edition. Approval has been provided by UICC to use \"Tumor invades bone, nerve or extrinsic deep muscles\" as T4 [NOS].\n\\# TX, T0 and T4 [NOS] are not defined in AJCC 7th edition.",
  "last_modified" : "2018-02-02T14:54:22.717Z",
  "definition" : [ {
    "key" : "clin_t",
    "name" : "Clinical T",
    "type" : "INPUT"
  }, {
    "key" : "clin_t_display",
    "name" : "Clinical T Display",
    "type" : "DESCRIPTION"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  }, {
    "key" : "notes",
    "name" : "Registrar Notes",
    "type" : "DESCRIPTION"
  } ],
  "rows" : [ [ "cX", "cTX", "Primary tumor cannot be assessed#", "Clinical classification criteria met, evaluation done: \n    Physician unable to assess T \n    Extension cannot be determined\nPhysician assigns cTX, no other information available to determine T" ], [ "c0", "cT0", "No evidence of primary tumor#", "" ], [ "c3", "cT3", "Tumor limited to the epithelium and/or submucosa (mucosal disease)", "Tumor extension involving mucosa:\n    Anterior two-thirds of tongue for base of tongue\n    Base of tongue (posterior one-third of tongue):\n        Confined to one side\n        Midline tumor\n    Base of tongue for lingual tonsil\n    Epiglottis, lingual (pharyngeal) surface\n    Floor of mouth\n    Glossoepiglottic fold\n    Glossopharyngeal fold\n    Hard palate\n    Hypopharynx\n    Larynx\n    Lateral pharyngeal wall\n    Lingual tonsil\n    Lower gingiva\n    Pharyngoepiglottic fold\n    Soft palate including uvula\n    Tonsillar pillars and fossae\n    Tonsils\n    Vallecula\n\nLocalized, NOS\n    \nStated as T3" ], [ "c4", "cT4", "Not defined by UICC*#", "Note: T4 has subcategories of T4a and T4b. Assign T4 only when there is no information available to assign one of the subcategories\n\nTumor invades bone, nerve or extrinsic deep muscles\n\nStated as T4[NOS]" ], [ "c4A", "cT4a", "Tumor invades: \n     Deep soft tissue\n     Cartilage\n     Bone\n     Overlying skin", "Deep soft tissue or musculature of base of tongue or lingual tonsil\nSoft tissue, NOS\nInvolvement of deep  soft tissue or musculature of base of tongue or lingual tonsil plus mucosal involvement of any structure in T3\nSublingual gland\n\nDeep soft tissue or  musculature of soft palate, inferior surface or NOS, including uvula\nMandible for lingual tonsil\nMandible plus any  involvement of soft palate\nMandible for base of tongue\nMusculature, extrinsic of tongue:\n    Genioglossus\n    Geniohyoid\n    Hyoglossus\n    Mylohyoid\n    Palatoglossus\n    Styloglossus\nDeep soft tissue or  musculature of:\n    Larynx\n    Hypopharynx\n\nBone excluding base of skull and mandible\nLateral nasopharynx\nPterygoid muscle\nPterygoid plates\nPalatine bone\n\nStated as T4a" ], [ "c4B", "cT4b", "Tumor invades any of the following:\n    Brain\n    Dura\n    Skull base\n    Lower cranial nerves (IX, X, XI, XII)\n    Masticator space\n    Carotid artery\n    Prevertebral space\n    Mediastinal structures", "Stated as T4b" ], [ "88", "88", "Not applicable", "In situ case but no pTis is defined by TNM\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Clinical classification criteria not met \nClinical classification criteria met, evaluation done:\n    No information about diagnostic workup\n    Results not documented in record\nClinical evaluation of primary tumor not done or unknown if done\nTumor first detected on surgical resection (no clinical workup)\nEvidence of metastatic disease [(cM1) or (pM1)], no other workup\nOnly Clinical Stage Group documented (no T, N, or M information available)" ] ]
}